Striptease (Beautiful Sexy Butts: Volume 1)

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When we do drugs, most drugs we take, we know there’s going to be sex involved… It’s going to be like whether it’s right away (claps hands together), or, like, you know, the minute you do it (claps hands together) –BAM!–your clothes are already off or in the process of getting off. We know what’s coming. Or you made the trip and you go into a motel and you bring all your stuff and you get high and then you are going to have sex. Hours of sex. Hours, hours, hours, yeah. (White, Group 3) Jozkowski, K. N., & Satinsky, S. A. (2013). A gender discrepancy analysis of heterosexual sexual behaviors in two university samples. Journal of Community Health, 38, 1157–1165. [ PubMed]

Still others explained that having anal intercourse without using substances would be too painful so they are only willing to have anal intercourse when they are high: Hekma G. The drive for sexual equality. Sexualities. 2008; 11:46–50. doi: 10.1177/13634607080110010206. [ CrossRef] [ Google Scholar]

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Yet, when asked whether they preferred anal intercourse or vaginal intercourse, nearly every woman in the focus groups unanimously expressed a preference for vaginal sex. The current study sought to understand why heterosexual women engage in anal intercourse, their perceptions of risks associated with anal intercourse, and their physical and emotional reactions to anal intercourse. Results from a series of four focus groups with women recruited from a community-based HIV and STI testing program and an outpatient drug treatment program suggested that women had a wide range of views on anal intercourse with a man and motivations for having anal intercourse. Among these motivations were (1) because they were high; (2) the women’s own desire for anal intercourse; (3) a desire to please their partner, (4) in quid pro quo (exchange) situations; (5) because they wanted to avoid vaginal sex; (6) and because they did not consent, either because they did not realize they had to ability to refuse or because they were coerced.

Kelvin EA, Smith RA, Mantell JE, Stein AZ. Adding the female condom to the public health agenda on prevention of HIV and other sexually transmitted infections among men and women during anal intercourse. American Journal of Public Health. 2009; 99:985–987. doi: 10.2105/AJPH.2008.141200. [ PMC free article] [ PubMed] [ CrossRef] [ Google Scholar] Javanbakht M, Guerry S, Gorbach PM, Stirland A, Chien M, Anton P, Kerndt PR. Prevalence and correlates of heterosexual anal intercourse among clients attending public sexually transmitted disease clinics in Los Angeles County. Sexually Transmitted Diseases. 2010; 37:369–376. doi: 10.1097/OLQ.0b013e3181bcd3e7. [ PubMed] [ CrossRef] [ Google Scholar] Focus groups are well suited to identifying the range and limits of a specific experience. In the current study, we were able to capture a wide range of reasons for engaging in anal intercourse, factors related to the perception of risk, and contexts related to women’s enjoyment of anal intercourse. But it is important to remember the limits of focus group data. While focus groups are very good at uncovering the range of experience, they are not good at uncovering how common any one experience might be. This is because not every person was asked or required to answer every question. A participant’s silence does not necessarily mean that they did not have the experience. Participation was also limited to English-speaking women, and participants were low-income women. Additionally, the women were willing to discuss a stigmatized behavior in a focus group setting. Therefore, this study does not necessarily represent the views of women who may feel uncomfortable discussing anal intercourse in a group setting.

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Upon arrival at the focus group location, participants were first informed about the nature of the study and all associated risks and benefits. Informed consent was a two-stage process: women consented first to participate in the focus group and signed an informed consent form approved by the CSULB Institutional Review Board. The second stage consent process required the women to give separate consent to have the focus group digitally recorded for later transcription and coding. Only women who were willing to consent at both stages, that is, to participate in the focus group and to allow the group to be recorded, participated in the final focus groups. None of the women refused to be audio taped. You know, it’s something that I do unconsciously. I suffer from depression and certain stuff like that. So a lot of things that I do probably don’t make sense to a lot of people. (White, Group 4) I didn’t think twice about not using protection. When I’m using and slamming dope, I don’t care, you know?(White, Group 3)